Individual
EDGARDO MONTES ZETINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063860
NY
390200000X
Student in an Organized Health Care Education/Training Program
RR60865273
WA
Other
Enumeration date
07/06/2018
Last updated
11/25/2024
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